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. <br /> "; <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEpTED FROM 8 AM TO 4 PM - OEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> _ / 3 // — /- `A S i N G 1C!? <br /> I'ROJECT ADDRESS <br /> Ri.0 _r- r,in�.�_ ��c,r�/.STRUCT��� <br /> Owner Mail Adaress <br /> City Slate2ip Phone <br /> 7enant Mail Atldress Cit <br /> Y State2ip Phone <br /> �L�l7V T�/ F-�P� l /L � Q� /1J C. <br /> Electrical Conlractor Mail Adaress City <br /> Stale2ip Phonn <br /> ,�t � (� �NF_ �u� 3NJ' <br /> Stato License Number Contract Prico of Work <br /> ,S Fi` <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: �— �U Acvtp l� �-� T£l.i..( /'� c f�/L Vl �� <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED 70 FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> ���— 00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby certdy thaf I ha�e read and exam�ned flus aFplication and know the same to be frue and <br /> wnecL All prows�ons o/laws and ordmances�ovemmq fhrs type ol work wdl be complefed <br /> whe(her spealied herem or noL The grantmg ol a perm�f does net presume to give authonty to <br /> peAormanceno!conmuc6�on n7hafalnim euther3�eu by uae�ne 90%thrs preperty to peAOrrmethe <br /> work lor which appl�cation is made and I c�mpiy �t�dh(he State Canfiaclas�Law 18.2i RCW and <br /> 296.200 WAC. <br /> i /' `l - T_7- 0� <br /> X y�gnalore <br /> / Uate <br /> ------- �G� �iZ9 <br />